CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

Referral Coordinator – Hybrid, United States

Coordinate patient referrals and diagnostic orders for Oak Street Health, including authorizations, medical records, payer portals, and specialist access. This hybrid role combines remote work with occasional on-site support.

Description

  • Coordinate referrals and diagnostic orders
  • Maintain accurate patient information in the electronic medical record
  • Explain referral and authorization details to patients
  • Secure required authorizations for third-party requests
  • Request medical records, submit clinical documentation, and upload files to the electronic medical record platform
  • Compile patients’ clinical histories and referral requirements
  • Manage referral information across multiple payer portals
  • Use electronic platforms to navigate workflows and generate results
  • Confirm non-preferred specialists and facilities for referral arrangements
  • Update the OSH Specialty Finder as needed
  • Assist OSH field teams through the Alfred Line and CareReqs
  • Maintain professional interactions with internal and external partners and customers
  • Achieve established performance metrics and quality standards
  • Complete additional duties as assigned

Requirements

  • High school diploma or equivalent
  • At least one year of general office administration experience
  • Referral processing experience preferred
  • Adaptable and positive approach to work
  • Professional telephone etiquette
  • Strong organization and ability to balance competing priorities
  • Strong computer skills, including familiarity with Microsoft Excel
  • Effective communication and customer service abilities
  • Resourceful approach to problem-solving
  • Consistent follow-through on delegated assignments
  • Health plan or provider order-entry experience preferred
  • Basic medical terminology and/or medical coding knowledge preferred
  • Proficient PC skills
  • Authorization to work in the United States
  • Previous remote work experience
  • Basic Google Workspace skills and confidence navigating systems
  • Ability to secure high-speed internet and connect equipment directly to a router or modem
  • A private, distraction-free remote workspace with dependable care arrangements during working hours
  • Ability to provide personal transportation for required on-site support within 50 miles of an OSH location or center
  • Ability to attend classroom-style remote training sessions

Benefits

  • Medical insurance coverage
  • Dental insurance coverage
  • Vision insurance coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Resources supporting physical, emotional, and financial well-being
  • Comprehensive benefits package for eligible full-time employees

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